Organization
JASPER DRUG CO INC
Active
Other names
JASPER DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
LEE DUNN RPH (PRESIDENT)
(706) 692-6427
Entity
Organization
Contact information
Practice address
1 N MAIN ST, JASPER, GA 30143-1500
(706) 692-6427
(706) 692-3121
Mailing address
1 N MAIN ST, JASPER, GA 30143-1500
(706) 692-6427
(706) 692-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHRE006155
GA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00029873
—
GA
01
—
2013757
PK
—
Enumeration date
06/22/2006
Last updated
02/20/2017
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